Page 1 of 78
NURSING ADN 621 – EXAM QUESTIONS UPDATED ACTUAL
EXAM LATEST 2026 – 2027 VERSION SOLVED QUESTIONS &
ANSWERS
NURSING ADN 621 – EXAM 250 QUESTIONS
SECTION I: FOUNDATIONS OF NURSING PRACTICE (Questions 1-40)
1. According to Maslow's Hierarchy of Needs, which patient need should the nurse
prioritize first?
A) Self-esteem and accomplishment
B) Safety and security
C) Love and belonging
D) Oxygen, food, and water
Answer: D
Rationale: Maslow's Hierarchy of Needs ranks physiological needs (oxygen, food,
water, rest) at the highest priority level . These must be met before higher-level needs
such as safety, love, and self-esteem can be addressed. In nursing practice, this
translates to prioritizing ABCs (Airway, Breathing, Circulation) .
2. What is the primary difference between a comprehensive assessment and a
focused assessment?
A) A comprehensive assessment is performed by the physician
B) A focused assessment is targeted to a specific body system or problem
C) A comprehensive assessment only includes vital signs
D) A focused assessment is performed only in the emergency department
Answer: B
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Rationale: A comprehensive assessment is a complete head-to-toe evaluation, while a
focused assessment is targeted to a specific body system or problem . Comprehensive
assessments are typically performed on admission or annually, while focused
assessments are conducted when a specific issue is identified .
3. The primary source of assessment data is:
A) The client
B) Family members
C) The medical record
D) Diagnostic test results
Answer: A
Rationale: The client is the primary source of assessment data . Secondary sources
include family members, caregivers, medical records, diagnostic test results, and other
healthcare providers .
4. A patient's spouse provides information about the patient's symptoms. This
information is classified as:
A) Primary source data
B) Secondary source data
C) Objective data
D) Tertiary source data
Answer: B
Rationale: Secondary sources include family members, caregivers, medical records,
diagnostic test results, and other healthcare providers . The spouse's report is
secondary source data.
5. A patient who is unconscious and unable to speak cannot be a source of data,
but a patient who is confused may be a source of:
A) Secondary data
B) Primary data
C) Tertiary data
D) Objective data only
Answer: B
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Rationale: Any patient, even one who is confused, can provide primary data through
their verbal responses and nonverbal communication . The nurse should attempt to
obtain information directly from the patient whenever possible.
6. In the nursing process, priority setting identifies:
A) Which nursing interventions are easiest to implement
B) The most urgent client needs to determine the order of interventions
C) The nursing diagnosis to be documented first
D) The medications to be administered
Answer: B
Rationale: Priority setting identifies the most urgent client needs to determine the order
in which nursing interventions should be implemented . Life-threatening problems are
prioritized over non-life-threatening issues.
7. Which type of nursing intervention can a nurse initiate without a physician's
order?
A) Independent intervention
B) Dependent intervention
C) Interdependent intervention
D) Collaborative intervention
Answer: A
Rationale: Independent interventions are actions that nurses can initiate without a
physician's order, such as patient education, positioning, and comfort measures .
Dependent interventions require an order from a healthcare provider.
8. Collaborative interventions in nursing are defined as:
A) Actions that require a physician's order
B) Actions that require the combined knowledge, skill, and expertise of multiple
healthcare professionals
C) Actions that can be delegated to unlicensed assistive personnel
D) Actions that are independent nursing interventions
Answer: B
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Rationale: Collaborative interventions require the combined knowledge, skill, and
expertise of multiple healthcare professionals . Examples include consulting with a
dietitian, physical therapist, or other healthcare providers .
9. A nursing care plan serves to:
A) Replace the medical record
B) Organize client information, nursing diagnoses, goals, interventions, and evaluation
criteria
C) Document financial information
D) Provide legal protection for the healthcare facility
Answer: B
Rationale: A nursing care plan is a written guide that organizes client information,
nursing diagnoses, goals, interventions, and evaluation criteria to ensure individualized,
coordinated care .
10. What was the primary purpose of the Omnibus Budget Reconciliation Act
(OBRA) of 1987?
A) To establish Medicare funding for hospitals
B) To protect the quality of life, health, and safety of nursing home residents
C) To create the Nurse Practice Act
D) To establish the National Council of State Boards of Nursing
Answer: B
Rationale: The Omnibus Budget Reconciliation Act of 1987 was passed to protect the
quality of life, health, and safety of nursing home residents . It established federal
standards for nursing home care.
11. Evidence-based practice (EBP) is best defined as:
A) A problem-solving approach to making clinical decisions using the best evidence
available
B) Following established hospital policies without question
C) Using only textbook information to guide care
D) Relying on physician orders exclusively
Answer: A
NURSING ADN 621 – EXAM QUESTIONS UPDATED ACTUAL
EXAM LATEST 2026 – 2027 VERSION SOLVED QUESTIONS &
ANSWERS
NURSING ADN 621 – EXAM 250 QUESTIONS
SECTION I: FOUNDATIONS OF NURSING PRACTICE (Questions 1-40)
1. According to Maslow's Hierarchy of Needs, which patient need should the nurse
prioritize first?
A) Self-esteem and accomplishment
B) Safety and security
C) Love and belonging
D) Oxygen, food, and water
Answer: D
Rationale: Maslow's Hierarchy of Needs ranks physiological needs (oxygen, food,
water, rest) at the highest priority level . These must be met before higher-level needs
such as safety, love, and self-esteem can be addressed. In nursing practice, this
translates to prioritizing ABCs (Airway, Breathing, Circulation) .
2. What is the primary difference between a comprehensive assessment and a
focused assessment?
A) A comprehensive assessment is performed by the physician
B) A focused assessment is targeted to a specific body system or problem
C) A comprehensive assessment only includes vital signs
D) A focused assessment is performed only in the emergency department
Answer: B
, Page 2 of 78
Rationale: A comprehensive assessment is a complete head-to-toe evaluation, while a
focused assessment is targeted to a specific body system or problem . Comprehensive
assessments are typically performed on admission or annually, while focused
assessments are conducted when a specific issue is identified .
3. The primary source of assessment data is:
A) The client
B) Family members
C) The medical record
D) Diagnostic test results
Answer: A
Rationale: The client is the primary source of assessment data . Secondary sources
include family members, caregivers, medical records, diagnostic test results, and other
healthcare providers .
4. A patient's spouse provides information about the patient's symptoms. This
information is classified as:
A) Primary source data
B) Secondary source data
C) Objective data
D) Tertiary source data
Answer: B
Rationale: Secondary sources include family members, caregivers, medical records,
diagnostic test results, and other healthcare providers . The spouse's report is
secondary source data.
5. A patient who is unconscious and unable to speak cannot be a source of data,
but a patient who is confused may be a source of:
A) Secondary data
B) Primary data
C) Tertiary data
D) Objective data only
Answer: B
, Page 3 of 78
Rationale: Any patient, even one who is confused, can provide primary data through
their verbal responses and nonverbal communication . The nurse should attempt to
obtain information directly from the patient whenever possible.
6. In the nursing process, priority setting identifies:
A) Which nursing interventions are easiest to implement
B) The most urgent client needs to determine the order of interventions
C) The nursing diagnosis to be documented first
D) The medications to be administered
Answer: B
Rationale: Priority setting identifies the most urgent client needs to determine the order
in which nursing interventions should be implemented . Life-threatening problems are
prioritized over non-life-threatening issues.
7. Which type of nursing intervention can a nurse initiate without a physician's
order?
A) Independent intervention
B) Dependent intervention
C) Interdependent intervention
D) Collaborative intervention
Answer: A
Rationale: Independent interventions are actions that nurses can initiate without a
physician's order, such as patient education, positioning, and comfort measures .
Dependent interventions require an order from a healthcare provider.
8. Collaborative interventions in nursing are defined as:
A) Actions that require a physician's order
B) Actions that require the combined knowledge, skill, and expertise of multiple
healthcare professionals
C) Actions that can be delegated to unlicensed assistive personnel
D) Actions that are independent nursing interventions
Answer: B
, Page 4 of 78
Rationale: Collaborative interventions require the combined knowledge, skill, and
expertise of multiple healthcare professionals . Examples include consulting with a
dietitian, physical therapist, or other healthcare providers .
9. A nursing care plan serves to:
A) Replace the medical record
B) Organize client information, nursing diagnoses, goals, interventions, and evaluation
criteria
C) Document financial information
D) Provide legal protection for the healthcare facility
Answer: B
Rationale: A nursing care plan is a written guide that organizes client information,
nursing diagnoses, goals, interventions, and evaluation criteria to ensure individualized,
coordinated care .
10. What was the primary purpose of the Omnibus Budget Reconciliation Act
(OBRA) of 1987?
A) To establish Medicare funding for hospitals
B) To protect the quality of life, health, and safety of nursing home residents
C) To create the Nurse Practice Act
D) To establish the National Council of State Boards of Nursing
Answer: B
Rationale: The Omnibus Budget Reconciliation Act of 1987 was passed to protect the
quality of life, health, and safety of nursing home residents . It established federal
standards for nursing home care.
11. Evidence-based practice (EBP) is best defined as:
A) A problem-solving approach to making clinical decisions using the best evidence
available
B) Following established hospital policies without question
C) Using only textbook information to guide care
D) Relying on physician orders exclusively
Answer: A
